Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:674] From: Dr William Cullen (Professor Cullen) / To: [ADDRESSEE UNKNOWN] / Regarding: Sir John Cathcart (Patient) / 25 November 1782 / (Outgoing)

Reply, 'Sir John Cathcart', suggesting further treatment: 'by the accounts I had from you formerly I did not expect he would have lasted till now'.

Facsimile

There are 3 images for this document.

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Metadata

FieldData
DOC ID 674
RCPE Catalogue Number CUL/1/1/15/161
Main Language English
Document Direction Outgoing
Date25 November 1782
Annotation None
TypeMachine copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Sir John Cathcart', suggesting further treatment: 'by the accounts I had from you formerly I did not expect he would have lasted till now'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:960]
Case of Sir John Cathcart whose spitting of blood implies a fatal consumptive condition.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:2988]PatientSir John Cathcart
[PERS ID:336]Patient's Physician / Surgeon / ApothecaryDr Ivie Campbell
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]

Sir John Cathcart
vid. p 242

Dear Sir


I think matters are now
certainly drawing to an Issue, with Sir John Cathcart
and indeed by the accounts I had from you formerly
I did not expect he would have lasted till now. The
bloody spitting you mention is what commonly
doubles the violent degree of Hydrothorax, and after
this symptom the fatal period is seldom long
delayed. But you are right in the meantime, in
trying every means of relief, and the Blister you
have lately applied was one of the most probable
the surprising degree of insensibility and torpor
which appears in the intestines, seems to preclude
you from the relief which you might otherwise pro¬
cure by purging; but I am still of opinion that it is
to be attempted, as the only means of drawing off any



[Page 2]

considerable portion of water, and I am of opinion
that over the large Doses, which his Intestines seem
to require, is as safe, as a more moderate Dose to -
another person, and you do not speak of any circum¬
stances attending your last operation; that case
make me think otherwise. It is possible that
Tapping might give a temporary relief, but as
there is Water in the Thorax as well as in the
Abdomen, the relief might be very little, and
the operation in drawing off the water of the
Abdomen, might be very dangerous; and unless it
is Sir Johns own choice to run the risk of this, I
would not advise it. There is another means that
might draw off a good deal of water with more
safety, and that is punctures in the legs or thighs
and if they are Punctures only they are not liable
to be troublesome, but must be frequently renewed


[Page 3]

in fresh places. After medicines, have lost their
power so much in this Case, I have no confidence
in advising any, but If I was, it would be only
Doses of Squills as large as he can bear. They
may perhaps after all prove something Diuretic


Make my Compliments to Doctor Campbell
and please tell him that my particular hurry at
this Season, has made me neglect sending
him an answer to the last letter he favoured
me with concerning Mrs. Blair, but I shall
still do it. I am with very great regard


Dear Sir
Your most obedient Servant

William Cullen

Edinburgh November 25.
1782.

Diplomatic Text

[Page 1]

Sir John Cathcart
vid. p 242

Dear Sir


I think matters are now
certainly drawing to an Issue, with Sir John Cathcart
and indeed by the accounts I had from you formerly
I did not expect he would have lasted till now. The
bloody spitting you mention is what commonly
doubles the violent degree of Hydrothorax, and after
this symptom the fatal period is seldom long
delayed. But you are right in the meantime, in
trying every means of relief, and the Blister you
have lately applied was one of the most probable
the surprising degree of insensibility and torpor
which appears in the intestines, seems to preclude
you from the relief which you might otherwise pro¬
cure by purging; but I am still of opinion that it is
to be attempted, as the only means of drawing off any



[Page 2]

considerable portion of water, and I am of opinion
that over the large Doses, which his Intestines seem
to require, is as safe, as a more moderate Dose to -
another person, and you do not speak of any circum¬
stances attending your last operation; that case
make me think otherwise. It is possible that
Tapping might give a temporary relief, but as
there is Water in the Thorax as well as in the
Abdomen, the relief might be very little, and
the operation in drawing off the water of the
Abdomen, might be very dangerous; and unless it
is Sir Johns own choice to run the risk of this, I
would not advise it. There is another means that
might draw off a good deal of water with more
safety, and that is punctures in the legs or thighs
and if they are Punctures only they are not liable
to be troublesome, but must be frequently renewed


[Page 3]

in fresh places. After medicines, have lost their
power so much in this Case, I have no confidence
in advising any, but If I was, it would be only
Doses of Squills as large as he can bear. They
may perhaps after all prove something Diuretic


Make my Compliments to Doctor Campbell
and please tell him that my particular hurry at
this Season, has made me neglect sending
him an answer to the last letter he favoured
me with concerning Mrs. Blair, but I shall
still do it. I am with very great regard


Dear Sir
Your most obedient Servant

William Cullen

Edinr. Novr. 25.
1782.

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